Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANA J. RUSH, PHD CCC-SLP
ActiveDR. SHANA J. RUSH, PHD CCC-SLP is a Clinical Neuropsychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1306171814 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1306171814
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2009 (16.869926244934 yrs)
- Last Updated
- May 12, 2023
- Licenses
-
6301013545 (MI)6301013545 (MI)
Practice Information
- Address
-
412 PLYMOUTH AVE NEGRAND RAPIDS, MI, 495056028Browse MI providers · Browse ZIP 49505
- Phone
- 6167800590
- Fax
- 6169844559
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MARK E DEVRIES | PH.D. | 1265476220 |
| THOMAS SCOTT HALSTEAD | PH.D. | 1992733653 |
| DR. DAVID L NYENHUIS | PHD | 1902836372 |
| DR. DON ALLEN BOYD | ED.D. | 1477663599 |
| MICHAEL LAWRENCE | PHD | 1326130857 |
| DR. MICHAEL PAUL WOLFF | PSYD | 1528147360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.